Organization
JAMES WATKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALLISON WATKINS M.D. (PRESIDENT)
(704) 616-4062
Entity
Organization
Contact information
Practice address
1601 ABBEY PL, STE 105, CHARLOTTE, NC 28209-3835
(704) 512-5360
(704) 512-5080
Mailing address
PO BOX 470255, CHARLOTTE, NC 28247-0255
(704) 335-5418
(704) 314-0737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023009321
INDIVIDUAL NPI #
—
01
—
171JK
BCBSNC
—
05
—
8985934
—
NC
Enumeration date
07/17/2012
Last updated
11/28/2012
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